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Drop Arm Test

From WikiSM

Other Names

Demonstration of the drop arm test[1]
Illustration of Drop Arm Test[2]
  • Codman's Test
  • Drop Arm Sign
  • Codman's Drop Arm Test

Purpose

  • Evaluate the Rotator Cuff, specifically the Supraspinatous
  • Named after Ernest Amory Codman, who first described it (need citation)

Description

  • The patient is either seated or standing
  • The examiner passively raises the arm to 90°
  • The patient slowly lowers the arm towards their side in the same plane with palm down
  • A positive test is:
    • Pain
    • Sudden drop of arm
    • Inability to smoothly control the descent

Pathology


Evidence

Rotator Cuff Disease

  • Hermans et al [3]
    • Sensitivity: 24%
    • Specificity: 93%
    • LR+: 3.3
    • LR-: 0.82

See Also


References

  1. Bak, Klaus, et al. "The value of clinical tests in acute full-thickness tears of the supraspinatus tendon: does a subacromial lidocaine injection help in the clinical diagnosis? A prospective study." Arthroscopy: The Journal of Arthroscopic & Related Surgery 26.6 (2010): 734-742.
  2. Almoallim, Hani, et al. "Approach to Musculoskeletal Examination." Skills in Rheumatology (2021): 17-65.
  3. Hermans, Job, et al. "Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review." Jama 310.8 (2013): 837-847.
Created by:
John Kiel on 14 July 2019 23:07:43
Authors:
Last edited:
26 September 2025 14:31:04
Category: